Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tyler Stephen Clutter, PA-C

Individual provider Medical Physician Assistant · NPI 1679285993

Mr. Tyler Stephen Clutter, PA-C is a Medical Physician Assistant in Mishawaka, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 523-3160
Fax: (574) 523-3221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10003930A (IN)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1679285993
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469

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